Group items tagged

Dawley clearly outlines the critical role birth centers and home birth during the 1930's and 1940's played in the developed of our current professional midwifery culture.

This article looks at the impact APRNs in the Emergency Department have on cost, quality of care, satisfaction and wait times. The study concludes that Emergency Nurse Practitioners have a positive influence on quality of care, satisfaction and wait times in the ER, but is inconclusive on their impact on cost.

This article highlights the changes in policy that are needed to enable nurse practitioners their full scope of practice in a way that benefits patients and families at end-of-life. Nurse practitioners need the ability to practice to their full scope of practice, including providing autonomous care, receiving adequate and equal reimbursement for services, and having the authority to prescribe controlled substances II through V. Nurses also need to endorse policies that require specialized education so they receive the knowledge and skills necessary to be leaders in end-of-life care.

This article discusses the benefits and pit-falls to autonomous primary care Nurse practitioner practice and advocates for cost effective improvements to our healthcare system. The research suggests that Nurse practitioners who practice independently report greater job satisfaction, improved patient outcomes and provide low cost, high quality services that are equal or superior to primary care physicians. Unfortunately, current healthcare reimbursement models, policies and reluctant physicians have created barriers to autonomous NP practices. The author suggests that autonomous practice requires further research across the U.S, the establishment of a well-defined model and the evaluation of patient outcomes, in order to determine whether the present day Nurse Practitioner requires future collaborative agreements with physicians, in order to provide quality patient care across the United States.

I'm curious about how my first few clinical days will turn out!

Small amount of history on CNM's from Dimensions Healthcare System

Interesting history of midwifery.